Philip Bonanno, M.D.

NPI #1609867845 in Glen Cove, New York

Provider Information

NPI Number: 1609867845
Entity Type: Individual
Name: Philip Bonanno, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Ophthalmology
Credential: M.D.
Enumeration Date: Nov 4, 2005
Last Updated: Jul 31, 2014

Practice Location

Address: 70 GLEN ST STE 380
City: Glen Cove
State: New York
ZIP Code: 11542-2858
Phone: (516) 671-5676

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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